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mpanies <br /> <br />PO Box 74~ PO IIox 10 PO Bo~ 10 <br />(7(M) '/~2-3196 C/~4) 7BZ.4101 ("/~,) 7~2,41f*a <br /> <br />22 <br /> <br />Cabarms County Purcha.~ing Agent <br />P. O. Box 707 <br />65 Church Street, SE <br />Concord, North Carolina 28026-0707 <br /> <br />The undersigned, as bidder, hereby declares that this Proposa[ is mode without connection with any other <br />person, company or parties nanking a ~imlhr bid or proposal, and that it is in allrespects fair and in good <br />faith without colh~slon or fraud. <br /> <br />The bidder has carefully examiaed the specifications and instructions to bidd~rs and h~reby declares that <br />he will furni.qh the sex,rices called for ia a manner pi'ese'bed ill the speciiicatiolls and in.qtructioas to <br />bidders for the following prices: <br /> <br />Markup price ($ . 0 qcI I r~ ) for fuel to be added to average price as shown on Oil Price rnformation <br />Service dated per order date for the Charlotte, North Carolina market <br /> <br />Regards, <br /> <br />(~upplier) Autt~orized Representative <br /> <br />Px'iat Name and Title <br /> <br />**NOTE: This a~davit must be on the Bidders letterhead and signed by an authorized representative. <br /> <br />CABARRUS COUNTY <br />FUEL SERVICE <br /> <br /> <br />